Therapeutic Efficacy of Modified Taohong Siwu Decoction Combined with Limited Internal Fixation and External Fixation on Tibial Plateau Fracture
10.13359/j.cnki.gzxbtcm.2016.01.006
- VernacularTitle:加味桃红四物汤结合有限内固定及外固定架术治疗胫骨平台骨折的临床观察
- Author:
Jianqiang WEN
;
Yongpeng XU
;
Shaoyong LAI
;
Qingxi ZHOU
;
Hanbin ZHONG
- Publication Type:Journal Article
- Keywords:
tibial plateau fracture;
limited internal fixation;
externa l fixation;
Taohong Siwu Decoction/therapeutic use
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2016;(1):19-22
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the therapeutic efficacy of modified Taohong Siwu Decoctio n(TSD) combined with limited internal fixation and external fixation for the treatment of tibial plateau fracture of Schatzker type Ⅴand Ⅵ. M ethods A total of 31 cases of tibial plateau fractures of Schatzker type Ⅴ and Ⅵ treated with TSD orally combined with limited internal fixation and external fixation were enrolled into the study. Follow-up was carried out for the evaluation of therapeutic effect and postoperative complications. Results All of the cases received follow-up for 6 months to 3 years. According to Merchant scoring criteria, the therapeutic effect was excellent for 15 cases, good for 12 cases, acceptable for 3 cases and inferior for one case, with the excellent and good rate being 87.1%. One case had pin tract infection, and then was cured after symptomatic treatment. Conclusion For tibial plateau fracture of Schatzker typeⅤandⅥwith unsatisfactory skin state, we can perform limited internal fixation and external fixation to take the place of strong steel plate fixation with extensive exposure for surgical treatment, and then give postoperative oral use of TSD, which will be a safe and effective therapy for the fracture by promoting the relief of the clinical symptoms and signs of early fracture.
